Organization
DIANA CAJAMARCA OD PA
Active
Other names
New Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA CAJAMARCA O.D. (OPTOMETRIST/DIRECTOR)
(561) 445-9979
Entity
Organization
Contact information
Practice address
1000 N CONGRESS AVE, SUITE 150, BOYNTON BEACH, FL 33426-3338
(561) 734-2172
(561) 734-2847
Mailing address
3050 NORWOOD PL, N-110, BOCA RATON, FL 33431-6524
(561) 445-9979
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OP0003574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621097000
—
FL
Enumeration date
05/11/2006
Last updated
05/27/2008
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